Listing_of_Employees___Subcontractors_Standard_5.30.23.docx
DOCX document 30 KB Posted
- Attached to
- Master Agreement AZ|CTR070503
- Contract number
- CTR070503
- Issued by
- Arizona
About this file
This document is a Listing of Contractor Employees and Subcontractors form from the State of Arizona Department of Child Safety's Office of Procurement, specifically for Arizona Cooperative Therapies under contract numbers CTR055534_Rural and CTR055534_Urban. The document provides a detailed roster of 14 employees and subcontractors who will be engaged in direct client services, including their personal identifiers such as date of birth, date of hire, and fingerprinting clearance card numbers.
The document appears to be related to a contract for providing therapeutic services, with employees hired between 2021 and 2023. The listing includes critical compliance information required for personnel working directly with clients, specifically tracking individual employee credentials and clearance status. While specific contract details are not fully disclosed, the document suggests a focus on child-related services with stringent background check and personnel tracking requirements, typical of contracts involving vulnerable populations.
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Text version
LISTING OF CONTRACTOR EMPLOYEES
AND SUBCONTRACTORS
State of Arizona Department of Child Safety Office of Procurement 3003 N. Central Ave Phoenix, AZ 85012
Contractor Name: Arizona Cooperative Therapies
Contract / Solicitation Number: CTR055534_Rural and CTR055534_Urban
Please provide information in the table below for all employees and subcontractors who will be engaged in direct client services under this contract. List the names, date of birth, date of hire, and fingerprinting clearance card number (put pending if card not obtained yet).
| Employee/Subcontractor Name |
| Date of Birth |
| Date of Hire |
| Fingerprinting Clearance Card No. |
| Heather Brown |
| 5/10/1976 |
| 6/18/2021 |
| 2A01632467 |
| Mandy CasConi |
| 12/29/1983 |
| 6/9/2021 |
| 2023R13187 |
| Silvia Teng |
| 3/29/1968 |
| 5/22/2023 |
| 2A50502684 |
| Gloria Castillo |
| 10/18/1946 |
| 7/28/2021 |
| 2A01793360 |
| Wilo Hassan |
| 6/2/1980 |
| 8/17/2021 |
| 2021H02893 |
| Wendell Hairston |
| 6/25/1983 |
| 10/12/2021 |
| 2021F01303 |
| Timmisha Jackson |
| 1/25/1989 |
| 11/15/2021 |
| 2018E04686 |
| Tory Hunter |
| 10/25/1996 |
| 11/26/2021 |
| 2020H08313 |
| Terri Grayson |
| 3/23/1985 |
| 4/7/2023 |
| 2A01498618 |
| Tabitha Roque |
| 12/8/1979 |
| 4/7/2023 |
| 2023R06200 |
| Patricia Baglione |
| 11/24/1968 |
| 4/18/2023 |
| 2020R10266 |
| Arlene Gil |
| 8/25/1972 |
| 7/20/2021 |
| 2A50428399 |
| Ida Vigil |
| 1/8/1946 |
| 7/20/2021 |
| 2A01061484 |
| Shirlene Bradford |
| 3/12/1948 |
| 1/14/2022 |
| 2021G05625 |
| Chloe’ Aflague |
| 8/18/1990 |
| 8/26/2022 |
| 2022E12702 |
Updated Date ___5/30/2023___________ image1.jpg
File details come from the government source that posted it. Updated .